- Public Consulting Group (Jefferson City, MO)
- …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
- Centene Corporation (Jefferson City, MO)
- …State and Federal laws, rules and regulations preferred. + 2+ years State Medicaid or government sponsored healthcare compliance. preferred. ... and uphold program integrity through structured oversight and monitoring of government -sponsored healthcare programs . + Oversee the management of the entire… more
- Prime Therapeutics (Jefferson City, MO)
- …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
- Prime Therapeutics (Jefferson City, MO)
- …Qualifications** + Strong skills in developing comprehensive strategy to drive growth in government programs (Medicare and/or Managed Medicaid ) + Proven ... drives every decision we make. **Job Posting Title** VP Government Programs - REMOTE **Job Description** The...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- WelbeHealth (Jefferson City, MO)
- …federal regulators and elected officials; experience at more than a single level of government (local, state , federal) preferred + Minimum of seven (7) years of ... care option to our most vulnerable senior population. The Director, Federal Government Affairs will lead a bold advocacy strategy to advance the WelbeHealth… more
- Prime Therapeutics (Jefferson City, MO)
- …This position is also responsible for the management of the Trade Client Strategy government programs team, which is responsible for the communication and pull ... Trade Relations is responsible for managing Prime's Trade Relations program (s) for medical and pharmacy formulary and market access...modeling and pull through execution activities. + Lead the government programs negotiator and client team. +… more
- Centene Corporation (Jefferson City, MO)
- …investigations and reporting meet federal and state mandates, including CMS and state Medicaid program requirements. + Oversee the intake, triage, ... regulatory enforcement required. + Significant experience managing large-scale FWA programs in a health plan, payer, government ...consulting firm required. + Deep knowledge of federal and state health programs (Medicare, Medicaid )… more
- Public Consulting Group (Jefferson City, MO)
- …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
- Public Consulting Group (Jefferson City, MO)
- …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program … more
- Centene Corporation (Jefferson City, MO)
- …as a MD or DO without restrictions, limitations, or sanctions from government programs . Centene offers a comprehensive benefits package including: competitive ... expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state , corporate, and accreditation… more
- Centene Corporation (Jefferson City, MO)
- …Federal laws, rules and regulations preferred + 1+ years experience in State Medicaid or Federal managed care compliance preferred **Licenses/Certifications:** ... to maintain integrity through oversight and monitoring and in meeting Government -sponsored health care program requirements. + Intakes and triages… more
- Humana (Jefferson City, MO)
- …help us put health first** The Software Engineer 2 within Humana Government Business codes software applications based on business requirements. The Software ... skills and teamwork abilities. + Successfully receive interim approval for government security clearance (NBIS- National Background Investigation Service) + Our… more
- Evolent (Jefferson City, MO)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Evolent (Jefferson City, MO)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... + **This position is 100% Remote and can be completed from any state . Multiple opportunities for a flexible schedule and both part-time and full-time options… more
- Evolent (Jefferson City, MO)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Evolent (Jefferson City, MO)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Humana (Jefferson City, MO)
- …**Required Qualifications** + Unrestricted Registered Nurse (RN) license in state of residency, with active multistate (compact) status, without disciplinary ... With the ability to quickly learn and navigate software programs and applications. + Demonstrated ability to provide autonomous...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Somatus (Columbia, MO)
- …an initial triage assessment to help align patients with the most appropriate program in accordance with program guidelines. + Documents about their activities ... patients of their upcoming appointments. + Helps patients access community and government -based services, including possibly filling out paperwork for the patient. +… more
- Datavant (Jefferson City, MO)
- …health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining ... coding. + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and… more